Provider Demographics
NPI:1720556053
Name:ACCESS OAKTOWN INC
Entity Type:Organization
Organization Name:ACCESS OAKTOWN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:TORBATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-330-4906
Mailing Address - Street 1:2693 FRUITVALE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-2034
Mailing Address - Country:US
Mailing Address - Phone:510-330-4906
Mailing Address - Fax:510-330-4902
Practice Address - Street 1:2693 FRUITVALE AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-2034
Practice Address - Country:US
Practice Address - Phone:510-330-4906
Practice Address - Fax:510-330-4902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy